Individual
KATHLEEN ANN CREGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4417 VESTAL PARKWAY EAST, SUITE 200, VESTAL, NY 13950-3556
(607) 797-1251
(607) 729-4393
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 719-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
330850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03142692
—
NY
Enumeration date
09/21/2006
Last updated
09/26/2012
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